| NPI | 1316249634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 3468649) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2021-11-19 |